Provider Demographics
NPI:1235499831
Name:T. QUEST,INC.
Entity Type:Organization
Organization Name:T. QUEST,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-588-5578
Mailing Address - Street 1:3238 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533-8850
Mailing Address - Country:US
Mailing Address - Phone:608-588-5578
Mailing Address - Fax:
Practice Address - Street 1:3238 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:DODGEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53533-8850
Practice Address - Country:US
Practice Address - Phone:608-588-5578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2743123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1699798702Medicaid